Emergency Operations Center (EOC) Situation Report

Situation Report Number: 12.23.2020 ​ Incident Name: COVID-19 MultCo Coordination ​ OERS Number: 2020-0279 (COVID) ​ EOC: Unified Commanders: ​ ​ Activated Jessica Guernsey, Multnomah County Health Department Kim Toevs, Multnomah County Health Department Chris Voss, Multnomah County Emergency Management Marc Jolin, Joint Office of Homeless Services Mohammad Bader, Department of County Human Services Deputies: Jennifer Masotja, Department of County Human Services Lisa Corbly, Multnomah County Emergency Management Alice Busch, Multnomah County Emergency Management Aaron Monnig, Multnomah County Health Department Date: Time: Situation Reports are typically released on Wednesdays. All posted Situation ​ ​ 12/23/20 18:00 Reports are archived on the County’s website. ​

To submit updates / actions to this report, email the Multnomah County EOC Situation Unit at ​ [email protected] with the subject line: Update for COVID-19 Situation Report. ​

Multnomah County COVID-19 Emergency Response

Announcements and Featured Media

● On December 17, Governor Kate Brown announced an extension of her executive order declaring a ​ ​ State of Emergency related to COVID-19 for an additional 60 days, to March 3, 2021. ● On December 17, the Multnomah County Board of Commissioners announced a six-month extension of ​ ​ the COVID-19 State of Emergency, as well as the County’s moratorium on rental evictions. Both of these extensions will now expire on July 2, 2021. This story was reported by The ​ Oregonian/OregonLive and The Skanner. ​ ​ ​ ​ ● On December 18, Oregon Health Authority released Oregon’s Phase 1a Vaccine Sequencing Plan and ​ ​ COVID-19 Vaccine Talking Points. This document was then revised on December 22nd. ​ ● On December 20, the Office of Governor Kate Brown announced, “The Western States Scientific Safety ​ ​ Review Workgroup . . . completed its review of the federal process and has concluded the Moderna COVID-19 vaccine is safe and efficacious for use in the Western States.” This story was covered by KATU. The Western States Pact background ​ ​ ​ ● On December 21, an Oregon Health Authority news release announced, “4,475 health care workers ​ ​ ​ had been vaccinated in the first week of the state’s COVID-19 immunization program.” ​

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● On December 22, Governor Kate Brown held a press availability regarding COVID-19. This story was ​ ​ covered by KGW and KOIN. ​ ​ ​ ​

COVID-19 testing

Information about statewide testing efforts can be found in Oregon Health Authority’s COVID-19 Testing in ​ Oregon. You can also visit Oregon Health & Science University (OHSU) testing information website. ​ ​ Multnomah County community testing For information about testing sites, who should get tested, and what to expect from your COVID-19 test, see Multnomah County’s COVID-19 Testing page. ​ ​ ● Call your doctor or clinic: If you have insurance or a regular care provider, contact your doctor’s office ​ or clinic to discuss whether you should be tested. ● If you don't have a doctor: Call 211 for help finding a clinic. They can help you even if you don't have ​ ​ ​ insurance. You can also call the Health Department's Primary Care Clinics at 503-988-5558 to enroll as ​ ​ a new patient. ● The After Testing Guide covers: ​ ​ ​ ○ Information on when to start and/or end isolation and quarantine ○ Resources and services for those who have to isolate or quarantine ○ When/how to tell close contacts and employers ○ Contact information for regional public health help ○ Basic COVID-19 prevention information

Multnomah County Community testing is designed to help provide testing for people without health insurance, and people without a regular health care provider. ● No cost testing by appointment only, for anyone with symptoms or anyone who has had recent close ​ ​ ​ ​ contact with a person with COVID-19. ​ ● You don't need to be a Multnomah County patient or have health insurance. ● You can get tested regardless of your immigration status. We will not share your information with law enforcement or immigration officials. ● We focus on reaching Black, Indigenous, and People of Color communities, ● Please note: We will need to turn away walk-ups without appointments when we reach our maximum ​ ​ capacity. Maximum capacity can be reached early in the day. Therefore, we encourage people to call ​ 503-988-8939 in advance to schedule appointments before arriving. If you are unable to schedule ​ an appointment, we recommend that you arrive in the morning.We have strived to avoid long waits, but wait times are increasing for people without appointments.

Locations and hours ○ East County Health Center (parking lot), 600 NE 8th St., Gresham, Mondays and Thursdays, 9:00 am - 3:45 pm [Note: On December 24, hours will be 9:00 am - 2:00 pm.] ​ ○ Portland Community College, Cascade Campus (Parking Lot 1), 705 N. Killingsworth St., Portland, Wednesdays, 11 am - 6 pm

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○ Immigrant and Refugee Community Organization (IRCO), 10301 NE Glisan St., Portland, Fridays, 12 pm - 6 pm [Note: There will be no testing at IRCO on December 25 and January 1.] ​ ○ Latino Network, Rockwood Office, 312 SE 165th Ave., Portland, Saturdays (including this Saturday, December 26th), 9:00 am - 3:45 pm

Epidemiology Data The Communicable Disease Epidemiology Team looks at multiple data sources and emerging science related to COVID-19. The information is evaluated and summarized and combined with an analysis of local, regional, national, and international information. This work informs the County’s COVID-19 response strategies.

Epidemiology Data County level epidemiological data for each metro area county is available on the Regional COVID-19 Data ​ Dashboard. ​ COVID-19 cases and deaths in Multnomah County and in Oregon There were 1,282 new confirmed and presumptive COVID-19 cases reported in Oregon on December 22. ​ ​ Two hundred fifty-eight of these new cases are in Multnomah County. Since the pandemic began, there have ​ been a total of 23,620 confirmed and presumptive COVID-19 cases in Multnomah County and 105,073 cases ​ ​ ​ ​ in Oregon. Multnomah County cases make up 22% of the state’s total. The chart below shows cases over the ​ ​ past week.

(Source: Oregon Health Authority) ​ ​ Note: The right vertical axis of this chart has been adjusted to accommodate the increase in COVID-19 cases statewide.

There were thirty-five new COVID-19 deaths in Oregon reported on December 22. Ten of these deaths ​ ​ ​ ​ ​ ​ occurred in Multnomah County. This marks both the state’s and the County’s highest number of COVID-19 deaths recorded on a single day since the outset of the pandemic. A total of 375 people are known to have ​ ​

page 3 Emergency Operations Center (EOC) died of COVID-19 in Multnomah County since the pandemic began. There have been 1,382 known COVID-19 ​ ​ deaths in Oregon, statewide. Multnomah County deaths make up 27% of the state’s total. The chart below ​ ​ shows deaths over the past week.

(Source: Oregon Health Authority) ​ ​ Note: The right vertical axis of this chart has been adjusted to accommodate the increase in total COVID-19 deaths.

National and global data about COVID-19 cases and deaths are tracked in the COVID-19 Dashboard, ​ ​ available through Johns Hopkins University’s Coronavirus Resource Center. ​ ​ Race and Ethnicity Impact in Multnomah County Detailed local data, including demographics (race, sex, age, and housing status) are available in the Regional ​ COVID-19 data dashboard hosted by Multnomah County. The dashboard also contains data on case counts, ​ hospitalizations, symptoms and coexisting conditions, and testing. For statewide data on COVID-19 cases in Oregon by sex, age group, race, and ethnicity, consult the Oregon Health Authority’s Demographics and ​ Disease Severity dashboard. National data on racial disparities in the COVID-19 pandemic is updated daily in ​ the COVID-19 Racial Data Tracker, which is a joint project of the COVID-19 Tracking Project at The Atlantic ​ ​ ​ ​ and the Center for Antiracist Research. ​ ​

The charts below show the percentage of total cumulative cases, deaths, and hospitalizations by race ​ and ethnicity (in gray), as of December 20. Each chart also shows the proportion of Multnomah County’s ​ ​ total population by race/ethnicity (in orange). Instances where the percentage of cases, deaths, and ​ hospitalizations exceeds the proportion of Multnomah County’s total population by race/ethnicity indicate the communities that are most impacted by health inequity from COVID-19. These differences may reflect the inequitable distribution of the risks of being exposed to COVID-19 and the opportunities to access medical care and COVID-19 testing.

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Data current as of December 20, 2020 (source: Regional COVID-19 Data Dashboard). ​ ​

Data current as of December 20, 2020 (source: Regional COVID-19 Data Dashboard). ​ ​

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Data current as of December 20, 2020 (source: Regional COVID-19 Data Dashboard). ​ ​

Vaccines

COVID-19 vaccines For more information about Multnomah County and vaccines, please visit our vaccine webpage. ​ ​ Multnomah County is working closely with the Oregon Health Authority (OHA), health care systems, and community partners to develop plans for ongoing COVID-19 vaccine distribution. Current information is available on Multnomah County’s COVID-19 Vaccine page, Oregon Health Authority’s COVID-19 Vaccine in ​ ​ ​ Oregon page and on OHA’s newly released COVID-19 Vaccination Trends dashboard. ​ ​ ​

The Oregon Health Authority is enrolling healthcare providers who wish to sign up as a provider of vaccine for ​ COVID-19. ​

On December 18, OHA released Oregon’s Phase 1a Vaccine Sequencing Plan, which identifies four groups for ​ ​ Phase 1a distribution. OHA’s plan aligns with the federal Advisory Committee on Immunization Practices (ACIP) and Centers for Disease Control and Prevention (CDC) guidelines for broad groups to be included in the initial phase of vaccine distribution. With a focus on health equity, the plan builds on the federal recommendations to outline specific populations within the broader groups.

Questions about COVID-19 vaccines and vaccine planning can be directed to Oregon Health Authority, at [email protected]. ​

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Flu Vaccine In addition to planning for COVID-19 vaccine, the Communicable Disease Program is working to expand access to the flu vaccine. Flu season brings with it complications to public health’s efforts to mitigate the spread of COVID-19. Earlier this fall, health care providers and retail pharmacies began to stock and provide flu vaccine. Flu vaccine is related to COVID-19 in a few ways: ● The current flu season (happening now) overlaps with the increase in COVID-19 cases. ● Influenza and COVID-19 infection have similar symptoms. As flu increases, individuals and households may miss more work/school needing to isolate longer than they normally would for flu symptoms, until COVID-19 is ruled out. ● Hospital capacity, already stretched by COVID-19 hospitalizations, could be further challenged by an uptick in flu-related hospitalizations.

Statewide Health System Capacity

Data as of December 22, 2020. Source: Oregon COVID-19 Update. ​ ​

Note from OHA: *Every hospital in Oregon is asked to submit data twice daily to Oregon’s Hospital Capacity Web System (HOSCAP). Data are based on the most recent report from the hospitals, available as of 9:00 am. Hospital staff are asked to enter bed capacity information, by type, as well as the number of patients with suspected or confirmed COVID-19 illness who are currently hospitalized at the time of data entry. These data may conflict with hospitalization status in Orpheus due to case reporting and investigation lags and temporary discrepancies in case classifications.

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Multnomah County Emergency Operations Section Updates

The Multnomah County Emergency Operations Center (EOC) is a temporary incident response framework that operates within the Mission, Vision and Values of Multnomah County. The EOC develops objectives based on ​ ​ guidance and priorities from the Chair and Chief Operating Officer. The EOC provides support to County departments that are operating beyond their normal capacity, and creates surge capability through the incorporation of community volunteers, partner agencies and organizations, as well as staff from across all County departments. The full complement of this combined effort is directed toward helping accomplish the County’s incident objectives.

EOC Section: Public Information ​ The Public Information Section provides accurate, coordinated, timely and accessible information with the primary goal of minimizing the impacts and reducing the spread of COVID-19. This information is disseminated to local governments; media; the private sector; and the community through the Multnomah County COVID-19 website, social media, media outlets, call centers, and direct efforts with culturally specific communities. Particular attention is paid to the communities most affected by COVID-19 and people who may not receive information through mainstream means. Content and materials are developed for individuals with disabilities and/or access and functional needs, differing levels of literacy, and with particular care being taken to effectively meet the needs of Black, Indigenous, and People of Color communities. The Public Information Section uses an equity lens to create material which is culturally specific to the needs of the many communities represented within the county.

Additionally, the Public Information Section provides materials and translation coordination in response to other emerging issues as they arise, with a focus on the intersection of COVID-19 with other crises. These issues have included, but are not limited to: wildfire, air quality, hot weather, water safety, and vaccinations.

Multnomah County Novel Coronavirus COVID-19 website ​ ​ ● Created How long should you quarantine? page ​ ​ ● Updated the following pages: ○ If You Have Been around Someone with COVID-19 ○ COVID-19 Testing ○ If You Test Positive for COVID-19 ○ Telling Close Contacts ○ Contact Tracing for COVID-19 ○ COVID-19 Webinars for Group Living Facilities

Social media highlights - PLEASE SHARE WIDELY ​ We share these social media posts to provide the public with accurate, easily-shareable information, and to support the community through the duration of the COVID-19 response. The posts provide guidance to help individuals make informed decisions about their safety, encourage behaviors known to minimize COVID-19

page 8 Emergency Operations Center (EOC) spread, elevate access to resources, and to combat misinformation which erodes trust in public health measures.

● Multnomah County Facebook ○ Multnomah County’s Deputy Behavioral Health Director Leticia Sainz talks about grief, anxiety, and stress during these times. Sainz says it’s important to take care of ourselves so that we can better care for others. Remember, Multnomah County’s Behavioral Health Call Center is here if ​ you need help. Call 503-988-4888 for free, 24/7 mental health support, with interpretation ​ services for non-English speakers. Visit Coping with the Pandemic for more strategies. ​ ​ ​ ● Multnomah County Health Department Facebook ○ However you choose to celebrate the holiday season: Protect yourself and others. “We’ve got ​ ​ good reasons to keep on going because we’ve got a generation of young people, children and grandchildren or whomever to be able to talk with.” — Pastor JW. Matt Hennessee. We can all do our part: Wash your hands often for at least 20 seconds. Wear a face covering when going out. Stay at least 6 feet from people you do not live with. Visit Daily Living and Going Out for ​ ​ ​ more information. ○ The holidays are times to celebrate and be grateful. Yet a lot of us are feeling anxious, sad, isolated from family and friends, or overwhelmed by the COVID-19 pandemic. And for many people, the shorter days and rainy weather can also be sources of stress. If you need help coping, please reach out. The Multnomah County Mental Health Call Center offers free, 24/7 ​ ​ mental health support. Interpretation services available for non-English speakers. Call 503-988-4888. ● Multnomah County Health Department Twitter ○ Wondering how long to quarantine after COVID-19 exposure? 14 days is still the safest option. ​ ​ ​ ​ See this graphic and visit How Long Should You Quarantine? to learn more. ​ ​ ​ ​ ○ Holidays are times to celebrate, yet many are feeling overwhelmed. The weather can also add ​ ​ stress. If you or anyone you know is having trouble coping, we're here to listen. Call: 503-988-4888 or visit Coping with the Pandemic for more tips. ​ ​ ● Multnomah County Emergency Management Facebook ○ It's important to keep preventing the spread of COVID-19 as we wait for vaccines to be ​ ​ distributed in our community. If you have COVID-19 symptoms, or if you've been in close contact with someone who's tested positive, visit COVID-19 Testing for Multnomah County ​ ​ Community Testing Sites and call 503-988-8939 for an appointment.

Call Center The EOC Call Center was established to answer a range of questions and concerns from community members related to COVID-19. Callers are connected directly from the Multnomah County Health Department and occasionally from 211. The Multnomah County emergency response team at the EOC continually updates the Call Center script content based on questions received. The Call Center also provides information regarding the many questions related to testing and assists by supporting Multnomah County Health with active monitoring/contact tracing, as well as by scheduling appointments for the County’s low-barrier COVID-19 testing. On December 6, the Call Center began providing wraparound support assistance to people needing

page 9 Emergency Operations Center (EOC) immediate grocery support, as part of their COVID-19 isolation. Referrals for this program come from Multnomah County Public Health Department.

General Updates from the Call Center ● From December 15 - December 21, the Call Center experienced a total of 1,705 calls. 1,212 (71%) of these calls were from individuals seeking information about COVID-19 testing. 154 calls (9%) were in support of people needing wraparound services. ● From December 15 - December 21, the Call Center assisted 102 callers in languages other than English, including Amharic, Arabic, Burmese, Chuukese, Eritrean, Farsi, Russian, Spanish, Vietnamese, and Zomi.

Daily Metrics: The Call Center tracks how many calls and emails it responds to each day. The first chart below ​ shows the number of calls and emails per day for the past week, broken down by three topic categories. The second chart shows the total number of calls and emails received each day over the past two weeks.

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211 Calls ● There were 447 calls to 211 on Monday, December 21. ● The most common reason people called was to ask about rent/mortgage assistance. Other frequent inquiries were about general testing information, utility assistance, and vaccines (COVID-19). ● Note: Phones using Voice Over Internet Protocols (VOIP) may be unable to reach 211. In this case, callers can instead use 211’s toll-free number: 866-698-6155.

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Data for December 21, 2020.

Aggregated data: The chart below shows the total number of 211 contacts each day, over the last two weeks. ​

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COVID-19 Physical Distancing Shelter and Voluntary Isolation Motels

The County operates two Voluntary Isolation Motels (VIMos) with a capacity of 120. These VIMos are designed to support successful COVID-19 isolation and quarantine. Multiple County departments and divisions are working together to ensure guests and staff have the resources and support needed. The Joint Office of Homeless Services operates a Physical Distancing Shelter with a capacity of 75. The Multnomah County Emergency Operations Center provides logistical support to these shelter programs.

Weekly Metrics: During the week of Monday, December 14 through Sunday, December 20, an average of 60 ​ ​ ​ ​ ​ ​ people per night stayed in the County’s Physical Distancing Shelter and 40 people per night stayed in the ​ ​ ​ County’s Voluntary Isolation Motels. The charts below show the number of people housed in these shelters and motels for each day of the past week.

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EOC Section: Logistics ​ The Logistics Section supports the response actions of all other EOC sections. Logistics focuses on procedures for activating, dispatching, distributing, prioritizing, allocating, tracking, and demobilizing resources needed for emergency and disaster operations in service of partners from: government, non-governmental organizations/non-profit, and private industry. For Multnomah County’s COVID-19 response, important Logistics functions include, but are not limited to supporting the EOC, Voluntary Isolation Motels (VIMOs), processing resource requests, and the coordination of donated supplies.

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As the COVID-19 pandemic evolves, the Logistics Section has worked diligently to address intersectional crises as they arise, which have included but are not limited to the regional wildfire response, smoke, and air quality issues. As part of these activities, Logistics has provided support to the Multnomah County and City of Portland’s Joint Office of Homeless Services, as well as nonprofit partners such as the American Red Cross.

General Updates from the Logistics Section ● The Logistics team is working with a cross-functional team to plan and implement the installation of semi-permanent cloth structures at the East County test site to provide increased protection from inclement weather for staff and members of the public. ● The Logistics section continues to support the Severe Weather Shelter planning team to provide equipment and supplies as needed to prepare sites for activation should Winter Weather arrive in the County. ● The Logistics team receives, processes, stores and delivers an increasing array of items to be used in outreach activities by the Joint Office of Homeless Services. ● The Logistics team is coordinating with the Administration Section to recruit and onboard staff for the Logistics team. A big THANK YOU to all who have helped the Logistics section maintain their momentum across many projects! Logistics, as well as all areas across the County’s response, continues to benefit from both paid and volunteer staff.

Community Resources Unit The Community Resources Unit works to minimize the impacts and spread of COVID-19, decrease severe ​ illness, and prevent deaths among the entire community by strategically prioritizing communities with the greatest needs, using race/ethnicity disparity research, community voice and wisdom, and public health best practice. The Community Resource Unit incorporates input from many County departments and teams, such as Multnomah County’s Racial and Ethnic Approaches to Community Health (REACH), Office of Diversity and ​ ​ ​ Equity, and the Healthy Birth Initiative, and from key partnerships with community based organizations ​ ​ ​ including Self Enhancement, Incorporated (SEI), Beyond Black, Immigrant and Refugee Community ​ ​ ​ ​ ​ Organization (IRCO), COFA Alliance National Network (CANN), Iu-Mien Association, Yakima Valley ​ ​ ​ ​ ​ ​ ​ ​ Farmworkers Clinic and many others to organize a framework for allocating critical supplies and Personal ​ ​ ​ ​ Protective Equipment (PPE) to healthcare and shelter providers, community organizations (such as social service organizations, food pantries, and faith organizations), and organizations the County has contracted with to provide direct services to the community. The Community Resources Unit helps all of these groups navigate the EOC resource request and allocation process.

The Unit has developed the Hub and Spoke Project in collaboration with Unified Command and Culturally Specific Community Liaisons. The goal of this project is to identify specific Community Based Organizations (CBOs) who serve a diverse array of vulnerable communities within the county and to provide them with the appropriate PPE for distribution to those communities. Staff also provide education on proper distribution and appropriate use of PPE as well as updates on best practices and resources so these groups can educate those they serve.The Hub and Spoke Project continues to monitor trends to better understand and meet the needs of specific underrepresented ethnic and cultural communities throughout the county.

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You can reach the Community Resources team at [email protected], by calling 503-988-8940, or by visiting the Need Resources? Multnomah County Resource Request Forms page. ​ ​

Daily Metrics: The Resource Request Unit tracks how many requests for resources it receives each day. The ​ chart below shows the number of daily requests over the past two weeks.

Note: the Community Resource Unit processes requests Mondays-Saturdays.

Weekly Metrics: During the week of Saturday, December 12 through Friday, December 18, the Resource ​ ​ ​ ​ ​ Request Unit processed 21 requests from groups that met the county’s priorities to dedicate resources to the ​ ​ populations most impacted by COVID-19. Requests were received from priority groups as indicated in the graph below:

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Note: In the above chart, healthcare providers and congregate housing sites include those that may specifically serve communities of color or people ages 65+. In other words, if a healthcare provider organization or congregate housing site specifically serves communities of color or people ages 65+, they are categorized as healthcare providers or congregate housing sites and not counted as an organization serving communities of color or as an organization serving people 65+.

Donations Unit Cloth Face Covering Donations Project: Multnomah County's Emergency response team at the EOC has ​ developed a re-energized campaign to increase donations of cloth face coverings, with a focus on child-sized face masks which are in the most scarce supply. These face coverings will be distributed to communities that have been the most impacted by COVID-19. The County's aim is to distribute 10,000 child-sized masks to children who are Black, Indigenous and People of Color, immigrants, or refugees, to other children in need, and to childcare providers. ● Child size face coverings are 6-by-6 inch and 7-by-7 inch. ● Cloth masks in unused and good condition, with two layers of tightly woven fabric (such as cotton or flannel) can be dropped off at: ○ Multnomah Building, 501 SE Hawthorne Blvd. (use the loading dock on SE 6th Ave.), 9:00 am to 3:00 pm Mondays and Wednesdays, or 10:00 am to 12:00 noon on Saturdays ● During the week of December 14 - December 20, the public responded to this call for donations by ​ ​ contributing 60 adult size cloth face coverings and 356 child size cloth face coverings. ​ ​ ​ Shelter Supply Unit The Shelter Supply Unit works closely with other Logistic Section units, to directly support nearly 300 staff and residents in shelter facilities with supplies, laundry, snacks, meals, medical assistance, and other services as requested. The Shelter Supply Unit strives to provide for the well-being of shelter residents by providing items such as comfort kits, clothing as needed, and entertainment options. The EOC is currently working to support

page 17 Emergency Operations Center (EOC) the Joint Office of Homeless Services (JOHS) in building the capacity needed to successfully incorporate this work.

Resource Deliveries The Logistics Section provides transportation for numerous response functions, including delivering supplies to community partners. The chart below shows the number of daily trips delivering resources to community organizations, County-run Voluntary Isolation Motels (VIMo), and emergency shelters run by the City of Portland and Multnomah County’s Joint Office of Homeless Services. The chart does not represent the quantity of supplies included in these deliveries, so a single delivery could include small or large quantities of resources.

Note: Logistics operates Monday-Saturday, with on-call deliveries made on Sundays.

Weekly metrics: Each week, the Logistics Section tracks the number of items that it delivers and picks up. The ​ table below shows these deliveries by week for the current month.

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Note: Routine data reconciliation resulted in updated delivery totals for the week of December 5 - 11.

EOC Section: Administration ​ The Administration Section provides targeted support to create an inclusive, positive, productive and healthy work environment across all response operations, that is responsive to the changing conditions of the ​ COVID-19 response. Functions include the recruitment, training and onboarding of staff and volunteers; equity and inclusion support; and human resources and labor relations consultation.

General Updates from the Administration Section

● The Administration Section’s Onboarding and Training Unit continues to develop curriculum for onboarding training sessions to assist incoming responders and establish general expectations for their ​ work. The session will also provide an overview of the centrality of equity and inclusion in the County's response to COVID-19. ● As winter approaches, the Training team is building Multnomah County’s capacity for potential severe weather Disaster Resource Center (DRC) shelter operations and ensuring County EOC staff are ​ ​ trained to adapt to the challenges potentially posed by inclement weather. ● The Administration Section continues to process applications from volunteers who have filled out the EOC interest form, and is working to meet volunteer needs by identifying projects appropriate for teleworking outside of regular business hours. ● The Volunteer Unit is collaborating with teams focused on Recruitment, Training and Onboarding, Demobilization, and Human Resources, to update and improve the Volunteer Onboarding Training materials. ● The Trauma Intervention Program is on track for a December 31 goal of reaching out to contact all staff ​ ​ who have demobilized from the EOC. This project addresses a previously identified County Improvement Plan action item to provide emotional support for demobilized EOC staff.

Volunteers The Volunteer Program of Multnomah County’s COVID-19 emergency response works to recruit, screen, onboard and support volunteers, with a current focus on recruiting and onboarding volunteers to staff Severe

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Weather Shelters, as well as vacancies in the Emergency Operations Center. The Volunteer Program bolsters and sustains the community response to COVID-19 in Multnomah County through promoting, organizing, and supporting safe volunteer activities and works closely with other County Departments to prioritize support for historically underserved communities.

As of December 20, 2020, a total of 146 people have volunteered their time with the EOC during the ​ ​ COVID-19 response, and active volunteers have worked a total of 8,473.45 hours. Using the County’s job ​ ​ class compensation guide as a metric, the value represented by this donated labor is $202,127.43. ​ ​ EOC Section: Liaisons The Liaison Officers support 19 sector representatives across 17 sectors. Their work fosters community ​ ​ connection and information sharing, offering spaces to problem solve, share resources, and discuss community experiences. A critical component of this work is the maintenance of a close connection with the County’s Communicable Disease team to ensure this outreach is data driven. The Liaison Officers identify and track trends within the sectors and elevate these trends to the County’s Emergency Response leadership team. This interconnectivity informs outreach efforts, public messaging, and policy development.

The Sector Representatives use their subject-matter expertise to act as a critical link between the County’s COVID-19 Emergency Response mission and the County’s diverse communities. They answer sector-specific questions, ensure understanding of local and state guidelines as it pertains to their sector, and manage communication and information sharing between sector organizations and the Multnomah County Emergency Operations Center. More than 8,500 people actively participate in the liaison program and help spread accurate information throughout our community and beyond.

Updates from the Liaison Section ● On December 17, Oregon Health Authority presented a facebook live video providing updates on the ​ ​ COVID-19 epidemic and vaccination planning. ● On December 18, Multnomah County released a Clinician Update including regional COVID-19 ​ ​ quarantine guidance. ● The statewide 211 system has been having issues not connecting with phones that use wireless Voice Over Internet Protocols (VOIP). Callers with these systems can instead use 211’s toll-free number: 866-698-6155. ● Oregon Health Authority is seeking nominees for the Oregon Health Policy Board. Representatives of ​ ​ diverse communities, Tribal members, and individuals from outside the Portland metro area are sought in particular. The deadline for application is December 28. ● Oregon Health Authority released updated guidance documents: ○ Guidance FAQs 一 Indoor Entertainment Establishments (updated December 15, 2020) ​ ○ Guidance FAQs 一 Eating and Drinking Establishments (updated December 17, 2020) ​ ○ Sector Guidance 一 Faith Institutions, Funeral Homes, Mortuaries and Cemeteries (updated December 18, 2020) ○ Sector Guidance – Indoor Recreation and Indoor Fitness Establishments (updated ​ December 21, 2020)

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Trends and Themes from the Liaison Officers ● The Liaison Officers are fielding many questions related to COVID-19 vaccination and quarantine. Resources for these inquiries include the following: ○ COVID-19 Vaccine (Multnomah County) ​ ○ How long should you quarantine? (Multnomah County) ​ ○ COVID-19 Vaccine in Oregon (Oregon Health Authority) ​ Local Updates

Media and Announcements ● On December 16, the Willamette Week reported on the experiences of three nurses serving in local ​ ​ ​ ​ healthcare settings providing care to COVID-19 patients. ● On December 18, The Oregonian/OregonLive reported on Multnomah County’s plans for the remaining ​ ​ ​ 2020 federal CARES Act funds.

State of Oregon and Regional Updates

Media and Announcements ● On December 16, Oregon Health Authority released its COVID-19 Weekly Report. ​ ​ ● On December 16, The Oregonian/OregonLive reported, “Roughly one-fifth of renters in Oregon and ​ ​ ​ nationwide reported being behind on rent payments . . .” ● On December 16, The Oregonian/OregonLive reported, “A federal judge has ruled that a suit can ​ ​ ​ ​ proceed against [the Oregon] governor and state correctional officials alleging they’ve failed to protect prison inmates from the spread of the coronavirus.” ● On December 17, The Oregonian/OregonLive reported, “The state’s novel $62 million relief fund for ​ ​ ​ ​ Black Oregonians will stop allocating grants and deposit its remaining $8.8 million with a federal court while legal challenges against it continue.” This story was also reported by OPB. ​ ​ ​ ● On December 18, Oregon Health Authority (OHA) released its latest modeling report. OHA’s December ​ ​ 18 news release announcing the report notes, “According to the model, the effective reproduction rate ​ ​ — the expected number of secondary cases that a single case generates — was estimated to be 1.22 as of Nov. 28.” ● On December 18, an Oregon Health Authority news release outlined the distribution of 35,100 ​ ​ COVID-19 vaccine doses. ● On December 20, OPB reported on the process and logistics for the distribution of the COVID-19 ​ ​ vaccine to Oregon residents. ● On December 21, Governor Kate Brown announced, “I am pleased that the legislature set aside $800 ​ ​ million that will allow the state to respond to the ongoing needs of the pandemic and wildfire response. These funds are critical to protect Oregon families and small businesses. I am also glad they took up critical, COVID-19-related policy bills that will provide relief for tenants and landlords, extend the

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eviction moratorium [now set to expire on June 30, 2021], and create avenues to support restaurants and bars.” ● On December 22, OPB reported on a lawsuit seeking to end the statewide eviction moratorium. ​ ​ National and International Updates

Media and Announcements ● On December 17, the Associated Press reported, “The number of Americans applying for ​ ​ unemployment benefits rose again last week to 885,000, the highest weekly total since September, as a resurgence of coronavirus cases threatens the economy’s recovery from its springtime collapse.” ● On December 17, the Associated Press reported on vaccination planning and implementation in ​ ​ Indigenous Native American communities. This story was also covered by NPR. ​ ​ ● On December 18, CNN reported on the national shortage of mental health care providers, as demand ​ ​ swells with the ongoing COVID-19 pandemic. ● On December 20, The New York Times reported on nationwide shortages of PPE, testing supplies and ​ ​ ​ medical gear, compounded by sourcing and distribution challenges. ● On December 20, The New York Times reported on the complicated process of identifying priority ​ ​ ​ groups to receive COVID-19 vaccines.

Stay Informed, Get Involved

COVID-19 Response ● Local response: the Multnomah County COVID-19 website is regularly updated with new information ​ ​ ​ and guidance. Topics covered include: ○ Daily Living ― includes information on face coverings, safer gatherings, tips for coping with the ​ pandemic, and more ■ The Youth and Families Toolkit provides general COVID-19 information and resources to ​ ​ help students and youth with peer pressure, coping, and more ○ Symptoms, Testing & Care ― for information on testing, what to do if you’ve been around ​ someone with COVID-19, telling your close contacts, and help with isolation and quarantine ■ The After Testing Guide has everything you need to know about testing, isolation and ​ ​ quarantine, and access to support ○ Guidance for Businesses and Organizations ― sector-specific guidance, economic resources, ​ what to do if an employee tests positive, and more ■ The Workplace Outbreak Guide contains resources and protocols if you have positive ​ ​ covid-19 cases in your workplace ○ Outbreak Summary, which includes the Regional COVID-19 Data Dashboard ​ ​

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○ Get or Give Help During COVID-19 ― community resources, how to donate or volunteer, and ​ resources for domestic and sexual violence ○ Discrimination, stigma and COVID-19 ● State response: Oregon Health Authority COVID-19 website ​ ​ ● National response: CDC website ​ ​ Media For media inquiries related to COVID-19 please contact Julie Sullivan-Springhetti, Multnomah County ​ ​ Public Information Media Coordinator at: 503-502-2741. ​ ​

Check out our list of trusted sources for current regional and national COVID-19 information. ​ ​ Activated Call Centers

Call Center Phone Number Email Hours 211 Call Center 211 or 866-698-6155 [email protected] Seven days a week, 8:00 am - 11:00 pm Behavioral Health Call 503-988-4888 Open 24 hours a day, seven days Center Toll-free: 800-716-9769 a week TTY: 711 Aging & Disabilities 503-988-3646 [email protected] Information and assistance to older Resource Connection people, people with disabilities, and caregivers, open 24 hours a day, seven days a week City County Information 503-823-4000 Mondays-Fridays, 8:00 am - 5:00 and Referral pm

Help and Resources ● Having symptoms? ○ C19Oregon.com is an online triage tool that helps public health officials track COVID-19 cases ​ and allows community members to check their symptoms and receive guidance.

More questions? ● Consult the Multnomah County COVID-19 FAQs. ​ ​ ● Call 211. ​ ● Still can’t find the answer you’re looking for? Submit questions about the novel coronavirus to ​ ​ Multnomah County.

Document Development Information

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Prepared By (Name & Position) Michelle Bullock, Lacey Legel, and Melissa Walker, Situation Unit Approved By (Name & Position) Alice Busch, Deputy Unified Command Date; Time Approved 12/23/20; 20:13hours Date of Next Situation Report Wednesday, 12/30/20

Articles & Reports Cited

Announcements and Featured Media

● “Multnomah County extends residential eviction ban until July,” by Mike Rogoway, The Oregonian/OregonLive, 17 ​ ​ December 2020, https://www.oregonlive.com/business/2020/12/multnomah-county-extends-eviction-ban-until-july.html ● “Eviction Ban Extended, Affordable Housing, Shelter Funded in Multnomah County,” The Skanner, 18 December ​ ​ 2020, https://www.theskanner.com/news/northwest/30811-eviction-ban-extended-affordable-housing-shelter-funded-in- multnomah-county ● “Western States Workgroup approves Moderna COVID-19 vaccine,” KATU, 20 December 2020, https://katu.com/news/local/western-states-workgroup-approves-moderna-covid-19-vaccine-12-20-2020 ● “Oregon's two-week freeze prevented surge in cases, Gov. Brown says,” KGW, 22 December 2020, https://www.kgw.com/article/news/health/coronavirus/gov-brown-news-conference-special-session-covid-19/283-d ee6c8b9-3a96-4901-affa-99fd643b6eb7 ● “Brown expresses optimism after no virus spike, vaccine, bills passed,” by Wayne Havrelly, KOIN, 22 December ​ ​ 2020, https://www.koin.com/news/oregon/oregon-governor-brown-special-session-covid-19-response-bills-media-briefin g-press-conference/

Local Updates

● “In the Surge: Three Nurses Describe Life and Death During the Worst Week Yet of the Pandemic,” by Rachel ​ Monahan, Willamette Week, 16 December 2020, ​ ​ ​ https://www.wweek.com/news/2020/12/16/in-the-surge-three-nurses-describe-life-and-death-during-the-worst-wee k-yet-of-the-pandemic/ ● “Portland, Multnomah County race to spend millions in federal coronavirus aid to avoid paying back ‘one dime’,” by Shane Dixon Cavanaugh, The Oregonian/OregonLive, 18 December 2020, ​ ​ https://www.oregonlive.com/coronavirus/2020/12/portland-multnomah-county-race-to-spend-millions-in-federal-cor onavirus-aid-to-avoid-paying-back-one-dime.html

State of Oregon and Regional Updates

● “COVID-19 Weekly Report,” Oregon Health Authority, 16 December 2020, https://www.oregon.gov/oha/PH/DISEASESCONDITIONS/DISEASESAZ/Emerging%20Respitory%20Infections/ Weekly-COVID-19-Report.pdf ● “More Oregonians are struggling to keep up with rental payments,” by Jamie Goldberg, The ​ Oregonian/OregonLive, 16 December 2020, ​

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https://www.oregonlive.com/coronavirus/2020/12/more-oregonians-are-struggling-to-keep-up-with-rental-payment s.html ● “Oregon officials not shielded from liability in response to coronavirus spread in state prisons, judge rules,” by Maxine Bernstein, The Oregonian/OregonLive, 16 December 2020, ​ ​ https://www.oregonlive.com/coronavirus/2020/12/oregon-officials-not-shielded-from-liability-in-response-to-corona virus-spread-in-state-prisons-judge-rules.html ● “State’s $62 million relief fund for Black Oregonians suspends operations, hands over remaining money to federal court,” by Jamie Goldberg, The Oregonian/OregonLive, 17 December 2020, ​ ​ https://www.oregonlive.com/business/2020/12/states-62-million-relief-fund-for-black-oregonians-suspends-operati ons-hands-over-remaining-money-to-federal-court.html ● “Fund to help Black Oregonians cope with COVID-19 put on hold,” by Dirk VanderHart, OPB, 18 December 2020, https://www.opb.org/article/2020/12/18/oregon-cares-fund-black-community-business-covid-19/ ● “Status Update: COVID-19 Epidemic Trends and Projections in Oregon,” Oregon Health Authority, 17 December 2020 [dated], 18 December 2020 [released], https://www.oregon.gov/oha/PH/DISEASESCONDITIONS/DISEASESAZ/Emerging%20Respitory%20Infections/O regon-COVID-19-Projections-2020-12-18.pdf ● “How the COVID-19 vaccine is being distributed across Oregon,” by John Notarianni, OPB, 20 December 2020, https://www.opb.org/article/2020/12/20/how-the-covid-19-vaccine-is-being-distributed-across-oregon/ ● “Landlords sue to invalidate Oregon eviction bans,” by Dirk VanderHart, OPB, 22 December 2020, https://www.opb.org/article/2020/12/22/landlords-sue-to-invalidate-oregon-eviction-bans/

National and International Updates

● “US jobless claims rise to 885,000 amid resurgence of virus,” by Paul Wiseman, Associated Press, 17 December 2020, https://apnews.com/article/technology-jobless-claims-unemployment-coronavirus-pandemic-economy-3dfd19dfdf6 a9e940b492e23b4d87403 ● “Vaccines reach COVID-ravaged Indigenous communities,” by Morgan Lee and Carla K. Johnson, Associated Press, 17 December 2020, https://apnews.com/article/new-mexico-arizona-coronavirus-pandemic-coronavirus-vaccine-native-americans-cab 1ff146f83b0274f3310fc9e759d84 ● “First Coronavirus Vaccine Doses Administered In Hard Hit Indigenous Communities,” by Reese Oxner, NPR, 17 December 2020, https://www.npr.org/sections/coronavirus-live-updates/2020/12/17/947843688/first-coronavirus-vaccine-doses-ad ministered-in-hard-hit-indigenous-communities ● “Pandemic demand for mental health care is overwhelming providers,” by Jen Rose Smith, CNN, 18 December 2020, https://www.cnn.com/2020/12/18/health/mental-health-care-demand-wellness/index.html ​ ● “Hospitals Are Still Short on Masks and Other Protective Gear,” by Andrew Jacobs, The New York Times, 20 ​ ​ December 2020, https://www.nytimes.com/2020/12/20/health/covid-ppe-shortages.html ​ ● “‘Big Fight’ Breaks Out Over Which Interest Groups Get Vaccine First,” by J. David Goodman and Luis Ferre-Sadurni, The New York Times, 20 December 2020, ​ ​ https://www.nytimes.com/2020/12/20/nyregion/essential-worker-coronavirus-vaccine.html

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